HAWRA ALQALLAF (NPI# 1609421965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609421965 |
| Entity Type | Individual |
| Full Name | HAWRA ALQALLAF |
| Practice Address |
1121 W Michigan St # Ds422 Indianapolis IN 46202-5211 |
| Practice Telephone | 3172742959 |
| Mailing Telephone | 3172742959 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
12013193A | IN | Dental Providers |
| Street Address |
1121 W MICHIGAN ST # DS422 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518470897 | Meridian Street Periodontics, LLC | Dentist | 8801 N Meridian St Ste 103, Indianapolis, IN 46260-2353 | 2017-11-09 |
| 1164726832 | Indy East Periodontics PC | Dentist | 115 N Shortridge Rd Ste 100, Indianapolis, IN 46219-4917 | 2011-01-10 |
| 1831316769 | Michael Kevin Gossweiler | Dentist | 7537 W 38th St, Indianapolis, IN 46254-2937 | 2007-04-20 |
| 1942358007 | Daniel Gomes | Dentist | 8235 Country Village Dr, Indianapolis, IN 46214 | 2007-01-08 |
| 1902963507 | Carl Lerner | Dentist | 8937 Southpointe Dr, Suite A-2, Indianapolis, IN 46227-1086 | 2007-01-02 |
| 1962561209 | John A Overman | Dentist | 3003 E 98th St Ste 241, Indianapolis, IN 46280-2907 | 2006-12-06 |
| 1790864445 | Stephen B Towns | Dentist | 508 Indiana Ave, Indianapolis, IN 46202-3106 | 2006-11-03 |
| 1295816007 | Kurt David Vanwinkle | Dentist | 8902 N Meridian St Ste 138, Indianapolis, IN 46260-5306 | 2006-10-18 |
| 1427067289 | Jay R Beagle | Dentist | 3003 E 98th St Ste 200, Indianapolis, IN 46280-1973 | 2006-08-07 |
| 1740225556 | Bruce B Wiland | Dentist | 5162 E Stop 11 Rd, Suite 2, Indianapolis, IN 46237-8617 | 2006-06-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on HAWRA ALQALLAF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.